机器人辅助深部脑刺激术中CT成像和无框配准模块：一个新的黄金标准？

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-06-13 DOI:10.1007/s00701-025-06581-w

Gonzague Defrance, Philippe Domenech, Johan Pallud, Marc Zanello

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引用次数: 0

摘要

背景：尽管基于立体定向框架的技术仍然广泛用于深部脑刺激（DBS）植入，但机器人辅助手术已经证明了更高的准确性、更高的精度和更短的手术时间。我们的团队在机器人辅助手术和术中成像方面有超过二十年的经验。方法：我们详细介绍了目前DBS植入的手术流程，结合了Neuromate机器人（Renishaw）、NeuroLocate无框架注册模块和术中使用O-Arm系统（Medtronic）的锥束CT成像。结论：该方法为传统方法提供了一种安全、高效、可重复性好的替代方法，支持其在现代功能神经外科中的广泛应用。

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Robot-assisted deep brain stimulation with intraoperative CT imaging and frameless registration module: a new gold-standard?

Background: Although stereotactic frame-based techniques remain widely used for deep brain stimulation (DBS) implantation, robot-assisted procedures have demonstrated improved accuracy, enhanced precision, and reduced operative time. Our team has over two decades of experience in robot-assisted surgery and intraoperative imaging.

Method: We detail our current surgical workflow for DBS implantation, combining the Neuromate robot (Renishaw), the NeuroLocate frameless registration module, and intraoperative cone-beam CT imaging using the O-Arm system (Medtronic).

Conclusion: This approach provides a safe, efficient, and reproducible alternative to traditional methods, supporting its broader adoption in modern functional neurosurgery.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.